MEDICARE: JJDRUG CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	PH30141	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2162471	OTHER		PK

General Provider Information

NPI Number	:	1982052361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJDRUG CO

Provider Business Mailing Address
First Line	:	1240 PROVIDENCE BLVD
Second Line	:	STE 2
City	:	DELTONA
State	:	FL
Zip	:	32725-7352
Country	:	US
Telephone Number	:	386-968-1066
Fax Number	:	386-259-5018

Provider Business Practice Location Address
First Line	:	1240 PROVIDENCE BLVD STE 2
Second Line	:
City	:	DELTONA
State	:	FL
Zip	:	32725-7352
Country	:	US
Telephone Number	:	386-968-1066
Fax Number	:	386-259-5018

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARTIN SZKODZINSKI
Credential	:
Telephone Number	:	813-326-0877

Provider Enumeration Date	:	05/26/2016
Last Update Date	:	08/24/2016

Similar Medicare Providers

1508967241 — K & R LLC
Practice Location Address:

1240 PROVIDENCE BLVD
DELTONA, FL
32725-7352

Practice Phone: 386-860-2665
Practice Fax: 386-860-0664

1386955821 — ALLGEN 3 LLC
Practice Location Address:

1240 PROVIDENCE BLVD STE 7
DELTONA, FL
32725-7352

Practice Phone: 386-259-5124
Practice Fax: 386-259-5128

1922635424 — KAILASHRX LLC
Practice Location Address:

1240 PROVIDENCE BLVD , UNIT 1 & 2
DELTONA, FL
32725-7352

Practice Phone: 386-259-5435
Practice Fax: 386-259-9582

1144173394 — HARBOR OF HOPE YOUTH SERVICES, LLC
Practice Location Address:

536 KEYSTONE TER
DELTONA, FL
32725-8323

Practice Phone: 407-406-1603
Practice Fax:

1255284105 — BRAYAN ECHENIQUE HERRERA RBT
Practice Location Address:

1659 DUNLAP DR
DELTONA, FL
32725-4803

Practice Phone: 502-901-8915
Practice Fax:

1104719400 — CHOICES HOUSE INC
Practice Location Address:

667 DELTONA BLVD STE 101
DELTONA, FL
32725-8151

Practice Phone: 386-215-5174
Practice Fax: 888-558-2226

Directions to “JJDRUG CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.